Dysfunction of the pisotriquetral joint: Degenerative arthritis treated by excision of the pisiform

Claudia Lamas Gómez, Ignasi Proubasta Renart, Joan Itarte Pujals, Enric Cáceres Palou, Romà Curell Busquets

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15 Citations (Scopus)

Abstract

From 1995 to 2000, 21 patients (14 women and 7 men) with a mean age of 42 were treated with excision of the pisiform for a dysfunction of the pisotriquetral joint. Follow-up ranged from 6 to 36 months (average: 30 months). The diagnoses included degenerative arthritis of the pisotriquetral joint (15 patients), degenerative arthritis associated with a ganglion (3 patients), and calcifications caused by flexor carpi ulnaris tendinopathy (3 patients). All patients had pain secondary to direct pressure on the pisiform. Side-to-side passive motion of the pisiform occasionally led to pain and crepitus. Degenerative arthritis and calcifications in the pisotriquetral joint were confirmed by a wrist radiograph (lateral view in 30° supination). In five patients, local injection with anesthetic temporarily resolved the symptoms. Excision of the pisiform resulted incomplete relief of pain without functional deficit.
Original languageEnglish
Pages (from-to)405-408
JournalOrthopedics
Volume28
Issue number4
Publication statusPublished - 1 Apr 2005

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